PT  - JOURNAL ARTICLE
AU  - Lee, Jeong Sub
AU  - Kim, John
AU  - Bapuraj, Jayapalli R.
AU  - Srinivasan, Ashok
TI  - Comparison of Image Quality and Radiation Dose in Pediatric Temporal Bone CT Using Photon-Counting Detector CT and Energy-Integrating Detector CT
AID  - 10.3174/ajnr.A8276
DP  - 2024 Jul 18
TA  - American Journal of Neuroradiology
4099  - http://www.ajnr.org/content/early/2024/07/18/ajnr.A8276.short
4100  - http://www.ajnr.org/content/early/2024/07/18/ajnr.A8276.full
AB  - BACKGROUND AND PURPOSE: Currently, there is a lack of research directly comparing photon-counting detector CT (PCD-CT) and energy-integrating detector CT (EID-CT) in pediatric temporal bone CT imaging. The purpose of this study was to compare the image quality and radiation dose of temporal bone CT scans in pediatric patients acquired with PCD-CT and EID-CT.MATERIALS AND METHODS: The retrospective study included a total of 110 pediatric temporal bone CT scans (PCD-CT, n = 52; EID-CT, n = 58). Two independent readers evaluated the spatial resolution of 4 anatomic structures (tympanic membrane, incudostapedial joint, stapedial crura, and cochlear modiolus) and overall image quality by using a 4-point scale. Interreader agreement was assessed. Dose-length product for each CT was compared, and subgroup analyses were performed based on age (younger than 3 years, 3–5 years, 6–11 years, and 12 years and above).RESULTS: PCD-CT demonstrated statistically significantly higher scores than EID-CT for all items (tympanic membrane, 2.9 versus 2.4; incudostapedial joint, 3.6 versus 2.6; stapedial crura, 3.2 versus 2.4; cochlear modiolus, 3.4 versus 2.8; overall image quality, 3.6 versus 2.8; P < .05). Interreader agreement ranged from good to excellent (interclass correlation coefficients, 0.6–0.81). PCD-CT exhibited a 43% dose reduction compared with EID-CT, with a particularly substantial reduction of over 70% in the subgroups of children younger than 6 years.CONCLUSIONS: PCD temporal bone CT achieves significantly superior imaging quality at a lower radiation dose compared with EID-CT.AECautomatic exposure controlDLPdose-length productEID-CTenergy-integrating detector CTICCinterclass correlation coefficientPCD-CTphoton-counting detector CT